Humana Insurance Based in Louisville, Kentucky, Humana Inc. is one of the largest health insurance providers in the United States, covering over 13 million members. Humana offers a wide array of insurance products including medical, prescription drug, dental, vision and other supplemental health policies. With its focus on personalized care and proactive health management, Humana aims to help members achieve lifelong well-being.
Humana’s Health Insurance Plans
Humana provides health insurance options for individuals and families, employers, federal government beneficiaries, and seniors. For individuals, Humana offers Affordable Care Act marketplace plans, student health plans, short-term plans, and Medicare plans. For employers, it provides group health plans including PPOs, HMOs, HSAs and FSAs. Humana is also one of the largest Medicare Advantage and Medicare Part D providers for seniors in the country.
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The insurer develops customized commercial group plans for large employers. It also administers TRICARE For Life and other programs for military members and federal employees. Across all of its plans, it focuses on preventive care, wellness incentives and chronic condition management. Members have access to nurse advice lines, clinical counseling and online wellness tools.
Humana’s network encompasses over 1 million providers including primary care doctors, specialists, hospitals, pharmacies and labs. It also owns over 200 of its own clinics and outpatient centers. The company has a strong pharmacy benefit management program, leveraging strategies to make prescription drugs more affordable for members.
Financial Strength and Ratings
As one of the top five commercial health insurers nationwide, Humana holds an excellent financial position and claims-paying ability. It maintains “A” ratings from A.M. Best and Fitch, and an “A-” rating from Standard and Poor’s. The Better Business Bureau gives Humana an A+ rating, noting their responsiveness in addressing customer complaints.
These ratings mean that Humana has sufficient reserves and generates adequate revenue from premiums to pay out expected claims. Strong finances also give it leverage in negotiating contracts with healthcare providers. Members can rest assured knowing Humana has the resources to handle claims.
Enrollment and Plan Administration
Consumers can get quotes and apply for individual Humana plans on the company’s website or through independent brokers and agents. Applications undergo medical underwriting where pre-existing conditions can affect eligibility and pricing. Members have access to online self-service portals to view plan details, find providers, check claims status, chat with representatives and more.
Humana members also receive ID cards containing plan information to present when accessing healthcare services. Claims are submitted automatically so members have little paperwork. Humana also provides support to help members understand benefits, resolve claims issues and access wellness programs.
Humana’s Focus on Health
True to its name derived from “human” and “humane”, Humana aims to provide affordable healthcare while promoting members’ overall wellbeing. Its focus goes beyond paying claims to helping people maintain good health through preventive screenings, disease management assistance, and health education. This approach aligns incentives between patients, providers and the insurer to improve population health outcomes.
For quality individual or family health insurance, Humana is a financially sound choice with a range of plans, robust provider networks and excellent customer service ratings. Its health-oriented approach also aims to provide a good value for premium dollars spent.